Addressability rate in the surgery units for the patients over 75 years of age has increased in the past years, a trend explained by growing life expectancy and population’s ageing. The aim of the study was to analyze the specific aspects of the abdominal surgical pathology in the elderly. Material and methods: 411 patients hospitalized in Surgery Department of “St. Spiridon” Hospital, IaÈ™i, from 1.01.2010 to 31.12.2010 were analysed retrospectively. Results: The oldest age registered was 95. There were 229 (55.71%) patients coming from rural areas compared to 182(44.28%) patients from urban areas. 193 (51.64%) of the patients from urban areas were women. 384 (93.43%) of the cases represented emergency cases. Considering the outcome of the treatment at discharge, 267(64.96%) were surgically cured cases, 105(25,5%) improved, 4 patients were discharged aggravated on request and 35 (8.5%) deceased. 127 (30.9%) patients were not operated. Of the 284 operated cases, 185 (65.14%) were diagnosed with benign diseases, most frequently being lithiasic cholecystitis (21.83%), hernias (14.43%) and incisional hernias (5.28%). 173 (93.5%) patients were operated on as an emergency. The postoperative mortality registered was 11.35%, the main cause being entero-mesenteric infarction. The operated malignant pathology (99 cases – 35%) was dominated by rectocolic cancer (50%), gastric cancer (18.18%) and pancreatic cancer (9.09%). Radical surgery was performed in 58 patients (58.58%) with a mortality of 11.23%. Conclusions: Age over 75 should not be a ground for surgeons to avoid either radical or palliative treatment. Both literature and our data show no major differences in the outcome of elderly patients compared to younger ones.